2016
DOI: 10.1016/j.amepre.2016.01.021
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Implementation of a Process for Initial Transcranial Doppler Ultrasonography in Children With Sickle Cell Anemia

Abstract: Stroke, a devastating complication of sickle cell anemia (SCA), can cause irreversible brain injury with physical and cognitive deficits. Transcranial Doppler ultrasonography (TCD) is a non-invasive tool for identifying children with SCA at highest risk of stroke. National guidelines recommend that TCD screening begin at age 2 years, yet there is research to suggest less than half of young children undergo screening. The purpose of this project was to use quality improvement methods to improve the proportion o… Show more

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Cited by 16 publications
(13 citation statements)
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“…Our latest TCD screen rate estimates are as high as 80%, reflecting one of the highest sustained TCD screen rates reported in the literature. 5,6 Other prior studies that evaluated interventions to improve TCD screening rates were limited by short follow-up time period, 12 narrow age range of 24-27 months, 13 or involved personnel dedicated for TCD…”
Section: Discussionmentioning
confidence: 99%
“…Our latest TCD screen rate estimates are as high as 80%, reflecting one of the highest sustained TCD screen rates reported in the literature. 5,6 Other prior studies that evaluated interventions to improve TCD screening rates were limited by short follow-up time period, 12 narrow age range of 24-27 months, 13 or involved personnel dedicated for TCD…”
Section: Discussionmentioning
confidence: 99%
“…Quality improvement methods to develop and implement a coordinated system for obtaining and improving the rates of initial TCD screenings for young children have been used and documented in a large health care system. 6 Incorporation of TCD screening within comprehensive SCD clinics during a comprehensive visit may be another strategy to improve patient adherence, outcomes, and satisfaction. 7 However, this approach may require a significant patient panel size to be cost-effective or practical.…”
Section: Discussionmentioning
confidence: 99%
“…Using quality improvement methods for screening among 2 year olds, one sickle cell center increased the first-screening rates to 100% using quality improvement methods. 35 …”
Section: Discussionmentioning
confidence: 99%